For example, it may be advantageous to orthodontically move an impacted tooth into the dental arch, or it may be necessary to increase the vertical dimension of the occlusion and an orthodontic approach may be the least invasive and most efficient way to achieve this objective. DIANNE GLASSCOE WATTERSON, RDH, BS, MBA, is a professional speaker, writer and consultant for dental offices in the United States. If the dentist determines that significant periodontal, functional or restorative advantages can be obtained by placing the abutment vertically, and if the patient agrees, this is the best and most appropriate course of action. While many research studies have been published on the longevity of dental restorations and prostheses, it is often difficult to make comparisons between studies because of differences in the way they were designed, performed and reported.
It includes the evaluation of periodontal conditions, the survey and mapping, the evaluation and recording of the patient's dental and medical history, and the general evaluation of health. Other factors that the dentist evaluates are the patient's level of general cooperation with and response to previous oral treatment and personal care instructions, and the prognosis of any treatment option being considered, including the option of not receiving treatment. It may include the evaluation and recording of tooth decay, missing or unerupted teeth, restorations, occlusal relationships, and evaluation of oral cancer. Most dental insurance covers sealants for children under 15 as part of regular preventive dental care.
Before making the decision to start orthodontic treatment, several important modifiers should be carefully evaluated. Periodontal surgery has a relatively high success rate, especially in patients who don't use tobacco and who have good oral care or who meet maintenance therapy recommendations. As explained in chapter 7, the initial treatment for periodontitis usually consists of meticulous scraping and root smoothing (often performed under local anesthesia); specific instructions on personal oral care; and after a period of 6 to 8 weeks, a detailed reevaluation or evaluation after initial treatment. For many years, procedures to restore individual teeth have been the central goal of most general dental offices in the United States.
Some hygienists perform a full periodontal evaluation at every visit, but only explore problem areas. To get the most benefit from the therapy, the dentist must carefully adjust the appliance upon delivery and thereafter periodically. The wise professional carefully investigates these issues before involving the patient in orthodontic treatment.